Active NPI
Stephenie Lynn Bauer, MS LIMHP LADC
- Mental Health Counselor
- Grand Island, NE
National Provider Identifier
1831286566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1026
- Practice address
- 2124 N Lafayette Ave
Grand Island, NE 68803-2048 - Phone
- (083) 384-2265
- Fax
- (308) 384-2243
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 633 | NE | |
| Mental Health Counselor | 101YM0800X | 2955 | NE | |
| Professional Counselor | 101YP2500X | 1535 | NE | |
| Mental Health Counselor | 101YM0800X | 1026 | NE | Primary |
Addresses
Primary practice location
2124 N Lafayette Ave
Grand Island, NE 68803-2048
Mailing address
2124 N Lafayette Ave
Grand Island, NE 68803-2048
Phone (308) 384-2265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 633 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 1535 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Health | Current | Accepting new patients | |
| Alegent Creighton Health | Current | Accepting new patients | |
| Behavioral Health Specialists Sunrise Place | Past | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
2124 N Lafayette Ave
Grand Island, NE 68803
Phone (308) 379-1949
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1033288923
-
- Community/Retail Pharmacy
- Lincoln, NE
- NPI 1598423220
-
- Substance Abuse Rehabilitation Facility
- Norfolk, NE
- NPI 1922160969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1831286566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 N LAFAYETTE AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688032048",
"telephone_number": "308-384-2265",
"fax_number": "308-384-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 N LAFAYETTE AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688032048",
"telephone_number": "083-384-2265",
"fax_number": "308-384-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "STEPHENIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MS LIMHP LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "633",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2955",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "1535",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.